Provider Demographics
NPI:1639355704
Name:AMRIT N. ACHARI MD PA
Entity Type:Organization
Organization Name:AMRIT N. ACHARI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMRIT
Authorized Official - Middle Name:N
Authorized Official - Last Name:ACHARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-780-8144
Mailing Address - Street 1:8915 GAYLORD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2903
Mailing Address - Country:US
Mailing Address - Phone:713-780-8144
Mailing Address - Fax:713-780-4484
Practice Address - Street 1:8915 GAYLORD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2903
Practice Address - Country:US
Practice Address - Phone:713-780-8144
Practice Address - Fax:713-780-4484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4788174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130019703OtherRAILROAD MEDICARE PIN
TX080330601Medicaid
TX114325701Medicaid
TX826133119OtherRAILROAD MEDICARE PIN
TX043216301Medicaid
TX0029BMMedicare PIN
TX080330601Medicaid
TX130019703OtherRAILROAD MEDICARE PIN
TX826133119OtherRAILROAD MEDICARE PIN
TX84900FMedicare PIN